Douglas County Pre-Award Risk Assessment

Agency Name

Agency EIN

Agency Universal Identifier (do not provide DUNS)

Agency SAM Expiration Date

Agency Point of Contact Name

Agency Point of Contact Email

Agency Point of Contact Phone

Request Amount (exclusive of match)

Has your agency ever received an award for a federal program?

Does your agency have adequate and qualified staff to comply with the terms of the subgrant award?

Does your agency have a system in place that will account for 100% of each grant-funded employee's time and activity?

Has your agency's key staff members attended required trainings and meetings during the prior subgrant award period?

Has your agency's key staff members responded to Douglas County requests timeline during the prior subgrant award period?

Has your agency had one or more audit findings regarding program non-compliance in its last single audit?

Has your agency had one or more audit findings regarding significant internal control deficiencies in its last single audit?

If your agency was funded by a Federal government in prior years, has the federal funder cited findings or concerns through its monitoring, financial or programmatic?

Within the last year, has your agency had new or substantially changed systems or software for accounting or payroll?

Within the last year, has your agency had restructuring or turnover in key director, fiscal, or programmatic management positions?

Within the last year, has your agency lost or been denied for any licensure or accreditation?

Where indirect costs are included, does your agency have adequate systems to segregate indirect from direct costs?